| Charles Lockhart Dds | |
|
150 E Huron St Suite 1103 Chicago IL 60611-2999 | |
| (312) 676-9893 | |
| (815) 744-7059 |
| Full Name | Charles Lockhart Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 E Huron St, Chicago, Illinois |
| Authorized Official Name and Position | Scott D Craig (CEO) |
| Authorized Official Contact | 3126769893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Lockhart Dds 4748 N Milwaukee Ave Ste 1 Chicago IL 60630-3617 Ph: (773) 685-9339 | Charles Lockhart Dds 150 E Huron St Suite 1103 Chicago IL 60611-2999 Ph: (312) 676-9893 |
| NPI Number | 1053602227 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053602227 | NPI | - | NPPES |
| 1457579682 | Other | TYPE 1 INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019014618 (Illinois) | Primary |
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